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Dr. Crystal Clark , PhD

Counselor - Professional β€’ Denton, TX

Active NPI 1619614195 Individual Practitioner Female Practitioner
Practice location in NPPES

306 N Loop 288 Ste 123
Denton, TX 762094218

Call 4696267511 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

306 N Loop 288 Ste 123

Denton, TX 762094218

Telephone 4696267511
Fax 4696130883
Organization at the Same NPPES Address or Phone
A Family Place - Counseling, Pllc Facility NPI 1205969714

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Plano, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Denton and Texas

245 active clinicians are listed under Counselor - Professional with a practice address in Denton, TX (21,191 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Denton

1.6% of these 245 clinicians have the CMS telehealth indicator.

6.9% of these 245 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 79203
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier License - Lpc
79203

Secondary Practice Locations

900 E Park Blvd Ste 280

Plano, TX 750748862

Phone: 4696267511

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 07, 2026

Registered at 306 N LOOP 288 STE 123, DENTON, TX 762094218 (Tel: 4696267511)

πŸ“
Updated Business Mailing Address July 07, 2026

Registered at 306 N LOOP 288 STE 123, DENTON, TX 762094218 (Tel: 4696267511)

🏒
Secondary Practice Location Registered July 07, 2026

Additional practice office at 900 E Park Blvd Ste 280, Plano, TX 750748862

βœ…
NPI Profile Active May 17, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 17, 2022

Registered at 501 S CARROLL BLVD STE 230, DENTON, TX 762017423 (Tel: 9405530012)

πŸ“
Business Mailing Address (Initial Record) May 17, 2022

Registered at 501 S CARROLL BLVD STE 230, DENTON, TX 762017423 (Tel: 9405530012)

πŸ‘€
Provider Name / Credentials (Initial Record) May 17, 2022

Recorded as CRYSTAL CLARK, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2022

Counselor (license number reported to NPPES: TX 79203)

🟒
Initial NPI Registration & Enumeration May 17, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619614195
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2022
Last Update: July 07, 2026
Sole Proprietor: No

Mailing Address

306 N Loop 288 Ste 123

Denton, TX 762094218

Phone: 4696267511

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.